Laserfiche WebLink
evereK <br />� <br />C:ty of Everett <br />CHART <br />' 'i„'',, , _ <br />.�_ . - „- � - <br />Sewer Application �nd' Permit <br />No. 265b0 DATE ri�mt, �, iana L <br />Service Address_ 3G17 Hovt A-vo. __ Utility Account N <br />Billing Address 5014 23rd S Ave. w. <br />City, State, Zip �erett. WA 9¢203 <br />Owner (Mortgagor) Jack IInrvess <br />Billing Name sacae <br />Connection By whalen oonat. <br />Address r.o. Box 262 h�onro qa?7z <br />Phone_ 799-5506 <br />DESCRIPTIpN: <br />Lot B'9 Block il <br />Plat F�!�Y�s lst .tidd <br />Unplatted Description <br />Permit: <br />Remarks: <br />IMPORTANT! <br />CALL 1-800-424-555548•HOURS <br />PRIOR TO DIGGING <br />CALL259�8811 FOR I�dSPECfION <br />SEE SKETCH ATTACHED <br />Permit <br />Connection Charge( <br />Total Fee <br />SPecial Utility Fee ord. 1171-AS <br />watnr 920.00 <br />uexer 2424.p0 <br />3344.00 <br />Signed . <br />Customer <br />Sewer District_ <br />Monthly Sewer Servi <br />Monthly Sewer Constr. <br />Northcad <br />Trunk ��t,'�3iL'ii S':[i;(liti fjl}i��liS•ii:_' i:i.t� <br />Lateral ��w��isyuo <br />_ r �, .�, <br />rtr.� �_.•��.c� <br />Abutting Lot Line��FCI! 3�i55\50 <br />N� S• E• WI'i:H-l'1� ��K3�� ft. <br />L: ^i:ti;ii 53.50 <br />E" `:,f.L'!i 41D.(1Q <br />id:!�1;1' i";`.3.t3�1 <br />f il J! I!Al'; � �I:. <br />Approved By � <br />y npineer <br />(? � I_l:l�liA! <br />:�l'.�It�.�'' 4.i1�.��(� <br />Issued By _ �.. I:� �..���_<��� <br />I'NEI;I: '�'l1.4o.'i� <br />�,/ 1 <br />Inspection 6y �`� <br />Datelnspected ��S'�� _ <br />rvo. 26560 <br />�....':;C;I(; <br />